期刊文献+

人工髁突假体在颞下颌关节重建中的临床应用 被引量:1

CLINICAL APPLICATION OF ARTIFICIAL CONDYLAR PROCESS FOR RECONSTRUCTING TEMPOROMANDIBULAR JOINT
原文传递
导出
摘要 目的探讨人工髁突假体应用于颞下颌关节重建的可行性及临床治疗效果。方法 2005年1月-2010年1月,对10例(11侧)患者应用人工髁突假体行颞下颌关节重建手术。男7例,女3例;年龄40~68岁,平均50岁。左侧7侧,右侧4侧。下颌骨肿瘤7例,病程9~24个月,平均15个月。双侧髁突囊内骨折3例,其中交通事故伤2例,高处坠落伤1例;伤后至入院时间分别为2、3、2 d;骨折按照Neff等的分类法:M型及A型1例,M型及B型1例,余1例一侧为M型,一侧为髁突下骨折。结果术后切口均Ⅰ期愈合,无相关并发症发生。患者均获随访,随访时间1~4年,面部对称,咬关系良好;张口度22~38 mm,平均30 mm。双侧颞下颌关节无弹响及疼痛,肿瘤无复发。一侧人工髁突假体就位角度稍差,其余人工髁突假体位置良好,与关节窝和关节结节的关系正常,能正常饮食。结论人工髁突假体应用于肿瘤术后颞下颌关节重建,效果良好;应用于髁突囊内骨折的治疗,其临床效果待进一步验证。 Objective To assess the feasibility and clinical outcomes of artificial condylar process in reconstruction of the temporomandibular joint. Methods Between January 2005 and January 2010, the reconstructions of the temporomandibular joints with artificial condylar process were performed in 10 cases (11 sides, including 7 left sides and 4 right sides). There were 7 males and 3 females with an average age of 50 years (range, 40-68 years). Mandibular condyle defects were caused by mandible tumor in 7 patients with a mean disease duration of 15 months (range, 9-24 months) and by bilateral condylar fractures in 3 patients with the disease duration of 2, 3, and 2 days respectively. According to Neff classification, there were type M and A in 1 case, type M and B in 1 case, and type M in one side and subcondylar fracture in the other side in 1 case. Results Incisions in all patients healed by first intention, and no complication occurred. M1 cases were followed up 1 to 4 years, showed facial symmetry and good occluding relation, and the mouth opening was 22-38 mm (mean, 30 ram). No temporomandibular joint clicking or pain and no recurrence of tumor were observed. Most of the artificial condylar process were in good position except 1 deviated from the correct angle slightly. All the patients could have diet normally. Conclusion The results of temporomandibular joint reconstruction after tumor resection with artificial condylar process are good, but the clinical outcome for intracapsular condylar fracture is expected to be further verified.
出处 《中国修复重建外科杂志》 CAS CSCD 北大核心 2012年第1期6-9,共4页 Chinese Journal of Reparative and Reconstructive Surgery
关键词 人工髁突假体 颞下颌关节重建 下颌骨肿瘤 髁突骨折 tumor Condylar Artificial condylar process Temporomandibular joint reconstruction Mandibular fracture
  • 相关文献

参考文献17

  • 1Alexander R. Total temporomandibular joint replacement. Who? What? When? Where? N Y State Dent J, 1999, 65(10): 28-32.
  • 2NeffA, Kolk A, Deppe H, et al. New aspects for indications of surgical management of intra-articular and high temporomandibular dislocation fractures. Mund Kiefer Gesichtschir, 1999, 3(1): 24-29.
  • 3胡敏.颞下颌关节外科[J].中华口腔医学杂志,2004,39(5):433-434. 被引量:11
  • 4Mercuri LG. The use of alloplastic prostheses for temporomandibular joint reconstruction. J Oral Maxillofac Surg, 2000, 58(1): 70-75.
  • 5Saeed N, Hensher R, McLeod N, et al. Reconstruction of the temporomandibular joint autogenous compared with alloplastic. Br I Oral Maxillofac Surg, 2002, 40(4): 296-299.
  • 6Saeed NR, Kent JN. A retrospective study of the costochondral graft in TMJ reconstruction. Int J Oral Maxillofac Surg, 2003, 32(6): 606-609.
  • 7Saeed NR, McLeod NM, Hensher R. Temporomandibular joint replacement in rheumatoid-induced disease. Br J Oral Maxillofac Surg, 2001, 39(1): 71-75.
  • 8Speculanda B, Hensher R, Powell D. Total prosthetic replacement of the TMJ: experience with two systems 1988-1997. Br J Oral Maxillofac Surg, 2000, 38(4): 360-369.
  • 9Park l, Keller EE, Reid KI. Surgical management of advanced degenerative arthritis of temporomandibular joint with metal fossa-eminence hemijoint replacement prosthesis: an 8-year retrospective pilot study. ] Oral Maxillofac Surg, 2004, 62(3): 320-328.
  • 10Battali E, Keller EE. Surgical management of advanced osteoarthritis of the temporomandibular joint with metal fossa-eminence hemijoint replacement: 10-year retrospective study. J Oral Maxillofac Surg, 2008, 66(9): 1847-1855.

二级参考文献41

共引文献17

同被引文献28

  • 1朱娟芳,高勃,王忠义,张风英,陈静,杨海欧.用于牙科植入体的激光快速成形纯钛性能研究[J].中国激光,2007,34(4):588-592. 被引量:17
  • 2Saeed N,Hensher R,McLeod N,et al.Reconstruction of the temporomandibular joint autogenous compared with alloplastic[J].Br J Oral Maxillofac Surg,2002,40(4):296-299.
  • 3Kashi A,Chowdhury AR,Saha S.Finite element analysis of a TMJ implant[J].J Dent Res,2010,89(3):241-245.
  • 4Chowdhury AR,Kashi A,Saha S.A comparison of stress distributions for different surgical procedures,screw dimensions and orientations for a Temporomandibular joint implant[J].J Biomech,2011,44 (14):2584-2587.
  • 5Kanatas AN,Needs C,Smith AB,et al.Short-term outcomes using the Christensen patient-specific temporomandibular joint implant system:a prospective study[J].Br J Oral Maxillofac Surg,2012,50(2):149-153.
  • 6Haq J,Patel N,Weimer K,et al.Single stage treatment of ankylosis of the temporomandibular joint using patient-specific total joint replacement and virtual surgical planning[J].Br J Oral Maxillofac Surg,2014,52(4):350-355.
  • 7da Rosa EL,Oleskovicz CF,Arag(a)o BN.Rapid prototyping in maxillofacial surgery and traumatology:case report[J].Braz Dent J,2004,15 (3):243-247.
  • 8McGurk M,Amis AA,Potamianos P,etal.Rapid prototyping techniques for anatomical modelling in medicine[J].Ann R Coll Surg Engl,1997,79 (3):169-174.
  • 9Warnke PH,Douglas T,Wollny P,etal.Rapid prototyping:porous titanium alloy scaffolds produced by selective laser melting for bone tissue engineering[J].Tissue Eng Part C M ethods,2009,15 (2):115-124.
  • 10Yamanishi Y,Yamaguchi S,Imazato S,et al.Influences of implant neck design and implant-abutment joint type on peri-implant bone stress and abutment micromovement:three-dimensional finite element analysis[J].Dent Mater,2012,28(11):1126-1133.

引证文献1

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部